Individual provider Active NPI

Robert Ritchie Vanbussum, MD

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1144222399
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22065 Issued in KY
Practice address
1760 Nicholasville Rd
St 603
Lexington, KY 40503-1471
Phone
(859) 277-3636
Fax
(859) 277-7575
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22065 KY Primary

Addresses

Primary practice location

1760 Nicholasville Rd
St 603
Lexington, KY 40503-1471

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4924

Other identifiers 1

IdentifierTypeStateIssuer
64220650MedicaidKY

Other names 1

  • Mr. R. Ritchie Van Bussum Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rvanbussum9117@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000611 KY Practitioner - Family Practice 9739185745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

3900 Kresge Way
Louisville, KY 40207-4681

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Lexington, KY, CCN 187104
  • Enhabit Home Health of Kentucky Home health agency, Lexington, KY, CCN 187176
  • Caretenders Home health agency, Lexington, KY, CCN 187084
  • Lifeline Health Care of Fayette Home health agency, Nicholasville, KY, CCN 187018
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2014 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 26, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2014 Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1760 Nicholasville Rd
Ste 603
Lexington, KY 40503
Phone (859) 260-6370

1720 Nicholasville Rd
Ste 506
Lexington, KY 40503
Phone (859) 260-6326

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1144222399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD",
            "address_2": "ST 603",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031471",
            "telephone_number": "859-277-3636",
            "fax_number": "859-277-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUSSUM",
        "first_name": "ROBERT",
        "middle_name": "RITCHIE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "22065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64220650",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvanbussum9117@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1760 Nicholasville Rd",
            "address_2": "ST 603",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "VAN BUSSUM",
            "middle_name": "RITCHIE",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.